Movement Disorders (revue)

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Direct comparison between regional cerebral metabolism in progressive supranuclear palsy and Parkinson's disease

Identifieur interne : 000713 ( Istex/Corpus ); précédent : 000712; suivant : 000714

Direct comparison between regional cerebral metabolism in progressive supranuclear palsy and Parkinson's disease

Auteurs : Reinoud C. Klein ; Bauke M. De Jong ; Joeke J. De Vries ; Klaus L. Leenders

Source :

RBID : ISTEX:F2F637EC05B7BC0B812D9C560DADEE4938A1A5E5

English descriptors

Abstract

The differentiation between progressive supranuclear palsy (PSP) and Parkinson's disease (PD) may be difficult, especially in the early stages of disease. Positron emission tomography potentially provides a tool for making such a distinction. To identify key features in the spatial distributions of cerebral glucose metabolism, 18F‐fluorodeoxyglucose (FDG) measurements of 10 patients with probable or possible PSP were directly compared with those of 9 PD patients. This analysis was done with statistic parametric mapping. After normalization of global brain uptake, in PSP, relative uptake of FDG was reduced in the caudal (motor) part of the anterior cingulate gyrus (Brodmann's area BA 24; P < 0.05, corrected for multiple comparisons). At a lower threshold, an additional decrease was present in the dorsal mesencephalon. In PD, relative hypometabolism was seen in extrastriate visual, ventrolateral temporal, posterior parietal, and orbitofrontal regions. Only reduction in the right fusiform gyrus and the lateral extrastriate visual cortex reached statistical significance. We concluded that particularly the reduction of medial frontal metabolism may be a valuable diagnostic imaging parameter in distinguishing PSP from PD. For PD, a possible association between occipitotemporal FDG decrease and vulnerability to hallucinations is suggested. © 2005 Movement Disorder Society

Url:
DOI: 10.1002/mds.20493

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ISTEX:F2F637EC05B7BC0B812D9C560DADEE4938A1A5E5

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<p>The differentiation between progressive supranuclear palsy (PSP) and Parkinson's disease (PD) may be difficult, especially in the early stages of disease. Positron emission tomography potentially provides a tool for making such a distinction. To identify key features in the spatial distributions of cerebral glucose metabolism,
<sup>18</sup>
F‐fluorodeoxyglucose (FDG) measurements of 10 patients with probable or possible PSP were directly compared with those of 9 PD patients. This analysis was done with statistic parametric mapping. After normalization of global brain uptake, in PSP, relative uptake of FDG was reduced in the caudal (motor) part of the anterior cingulate gyrus (Brodmann's area BA 24;
<i>P</i>
< 0.05, corrected for multiple comparisons). At a lower threshold, an additional decrease was present in the dorsal mesencephalon. In PD, relative hypometabolism was seen in extrastriate visual, ventrolateral temporal, posterior parietal, and orbitofrontal regions. Only reduction in the right fusiform gyrus and the lateral extrastriate visual cortex reached statistical significance. We concluded that particularly the reduction of medial frontal metabolism may be a valuable diagnostic imaging parameter in distinguishing PSP from PD. For PD, a possible association between occipitotemporal FDG decrease and vulnerability to hallucinations is suggested. © 2005 Movement Disorder Society</p>
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<title>Direct comparison between regional cerebral metabolism in progressive supranuclear palsy and Parkinson's disease</title>
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<title>Regional Cerebral Metabolism in PSP and PD</title>
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<title>Direct comparison between regional cerebral metabolism in progressive supranuclear palsy and Parkinson's disease</title>
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<name type="personal">
<namePart type="given">Reinoud C.</namePart>
<namePart type="family">Klein</namePart>
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<affiliation>Department of Neurology, University Hospital Groningen, The Netherlands</affiliation>
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<name type="personal">
<namePart type="given">Bauke M.</namePart>
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<affiliation>Department of Neurology, University Hospital Groningen, The Netherlands</affiliation>
<affiliation>PET Center, University Hospital Groningen, The Netherlands</affiliation>
<description>Correspondence: Department of Neurology, University Hospital Groningen, P.O. Box 30.001, 9700 RB Groningen, The Netherlands</description>
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<affiliation>Department of Neurology, University Hospital Groningen, The Netherlands</affiliation>
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<abstract lang="en">The differentiation between progressive supranuclear palsy (PSP) and Parkinson's disease (PD) may be difficult, especially in the early stages of disease. Positron emission tomography potentially provides a tool for making such a distinction. To identify key features in the spatial distributions of cerebral glucose metabolism, 18F‐fluorodeoxyglucose (FDG) measurements of 10 patients with probable or possible PSP were directly compared with those of 9 PD patients. This analysis was done with statistic parametric mapping. After normalization of global brain uptake, in PSP, relative uptake of FDG was reduced in the caudal (motor) part of the anterior cingulate gyrus (Brodmann's area BA 24; P < 0.05, corrected for multiple comparisons). At a lower threshold, an additional decrease was present in the dorsal mesencephalon. In PD, relative hypometabolism was seen in extrastriate visual, ventrolateral temporal, posterior parietal, and orbitofrontal regions. Only reduction in the right fusiform gyrus and the lateral extrastriate visual cortex reached statistical significance. We concluded that particularly the reduction of medial frontal metabolism may be a valuable diagnostic imaging parameter in distinguishing PSP from PD. For PD, a possible association between occipitotemporal FDG decrease and vulnerability to hallucinations is suggested. © 2005 Movement Disorder Society</abstract>
<subject lang="en">
<genre>Keywords</genre>
<topic>progressive supranuclear palsy</topic>
<topic>Parkinson's disease</topic>
<topic>PET</topic>
<topic>FDG</topic>
<topic>SPM</topic>
<topic>medial frontal metabolism</topic>
<topic>hallucination</topic>
<topic>cingulate gyrus</topic>
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<identifier type="ISSN">0885-3185</identifier>
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<identifier type="PublisherID">MDS</identifier>
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<date>2005</date>
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